Active NPI
Elena Carrie Meyer, MS, LPC, NCC
- Professional Counselor
- Medford, OR
National Provider Identifier
1194096040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3874
- Practice address
- 1175 E Main St Ste 1C
Medford, OR 97504-7457 - Phone
- (541) 772-0127
- Fax
- (541) 772-0966
- NPI assigned
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3874 | OR | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
1175 E Main St Ste 1C
Medford, OR 97504-7457
Mailing address
715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 772-0127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3874 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1194096040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SW RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275500",
"telephone_number": "541-772-0127",
"fax_number": "541-772-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 E MAIN ST STE 1C",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047457",
"telephone_number": "541-772-0127",
"fax_number": "541-772-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ELENA",
"middle_name": "CARRIE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3874",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
- Yvonne Teresa Mete, RPH
- Sandra Lynn Metwally, PT
- Yaser Abdel-Alim Metwally, MD
- Gordon Metz, M.D.
- Christopher Paisley Meyer, PMHNP-BC
- Joshua Daniel Meyer, RN
- Meyerding Surgical Associates Inc
- Eugene V Meyerding Jr., DMD
- Jennifer Miatke, MA, LPC, MDIV, CADCI
- Michael F Oconnell PHD (Rogue Valley Psychological Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.